Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $37.82 / $50.96	Facility		$17.25	$37.82	$50.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $12.32 / $43.24	Professional		$10.56	$12.32	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $28.00 / $51.78	Professional		$16.00	$28.00	$51.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $20.65 / $63.49	Facility		$16.00	$20.65	$63.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $16.00 / $36.79	Professional		$9.60	$16.00	$36.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $29.34 / $43.59	Facility		$14.69	$29.34	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $28.80 / $41.76	Professional		$18.14	$28.80	$41.76
United Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.78 / $34.88	Professional		$9.60	$9.78	$34.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $16.00 / $16.00	Professional		$12.64	$16.00	$16.00